Camp Director PICTURES 2008 Sample Daily Schedule Registration Form Camp Videos

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Download 2009 Form

Name: __________________________________________Male/Female:_____________

Age:_______ Playing Experience:_________________(Years)

Camp: Basic Advanced Both

Phone:__________________________ T-Shirt Size: YS YM YL AS AM AL

Address:__________________________________________________________

City:______________________________

Zip:______________ Preferred Ball Size: 3 4 5

Emergency Phone:_________________ Parent/Guardian Name:______________________

Known Allergies:__________________________________________________________

Email Address: ______________________________________________________

As a condition of participation by______________________________________(player’s name), I accept all risks included in or incidental to camp participation. I release and hold harmless Grace Brethren Schools and Grand Prix Soccer Camps (including its coaches and directors). I also give consent for the care of injuries (which may include transportation to a medical facility) to the staff of Grand Prix Soccer Camps. I acknowledge that I have read and understand this precautionary and release from liability statement, I have adequate insurance to cover my player’s participation, and I consent to allowing the aforementioned player to participate in Grand Prix Soccer Camp.

Parent Signature:______________________________________ Date:________________________________

Please make checks payable to Scott Nandor and mail to:

Scott Nandor, Grand Prix Soccer Camps - 1249 Alexander St. Simi Valley, CA 93065

There is a $25 non-refundable registration fee included in the
registration cost. No refunds will be given after June 14.
Pre-Registration (By May 23rd) - 1 Week=$80 - 2 Weeks=$130
Registration - 1 Week=$90 - 2 Weeks=$140


Camp Director PICTURES 2008 Sample Daily Schedule Registration Form Camp Videos

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